MAUDE Adverse Event Report: ZIMVIE US CORP LLC T3® PRO TAPERED IMPLANT 6/5MM (D) X 10MM (L); DENTAL IMPLANT

Catalog Number	T3PT6510
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Osteolysis (2377)
Date of Event	04/24/2026
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
Zimvie complaint number (b)(4).
Event or Problem Description
It was reported that implant was removed due to bone loss.Discovered during clinical procedure.On (b)(6) 2026 - implant #3 with vertical bone loss on the mesial to the 5th thread and vertical bone loss on the distal to the 8th thread.On (b)(6) 2026 - # 3 - the healing abutment was removed.The implant was removed using reverse torque.A full thickness papilla sparing flap was reflected.The osteotomy was debrided of all soft tissue down to healthy bone.Decorticated.The osteotomy was refined using shaping drills and osteotomes.No scout film was obtained.No surgical guide was used.A zb t3 pro tapered immediate molar 7 x 10 mm implant was placed.Torque >90 ncm.Co/ca/xe regeneross bone mixed with prf exudate was used to graft the peri-implant defect.A cover screw was placed.A prf membrane was placed overlying the site.Soft tissues were reapproximated using 3-0 gut suture.

• Brand Name: T3® PRO TAPERED IMPLANT 6/5MM (D) X 10MM (L)
• Common Device Name: DENTAL IMPLANT
• Manufacturer (Section D): ZIMVIE US CORP LLC; 4555 riverside drive; palm beach gardens FL 33410
• Manufacturer (Section G): ZIMVIE US CORP LLC; 4555 riverside drive; palm beach gardens FL 33410
• Manufacturer Contact: mark mashburn ; 4555 riverside drive; palm beach gardens, FL 33410 ; 5619713230
• MDR Report Key: 25210125
• Report Number: 0001038806-2026-02755
• Device Sequence Number: 10409314
• Product Code: DZE
• UDI-Device Identifier: 00844868046813
• UDI-Public: (01)00844868046813(17)300130(10)2120026114
• Combination Product (Y/N): N
• Initial Reporter State: IA
• Initial Reporter Country: US
• PMA/510(K) Number: K213672
• Exemption Number: 5645646
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2025
• Device Explanted Year: 2026
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 05/18/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Lay User/Patient
• Device Catalogue Number: T3PT6510
• Device Lot Number: 2120026114
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 05/18/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 01/31/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 71 YR
• Patient Sex: Male
• Patient Ethnicity: Non Hispanic